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North Dakota rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.26 / $131.26 / $150.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $183.32 / $230.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.26 / $150.99 / $181.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $72.34 / $951.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $61.78 / $90.59